Dr Tyrone Wizzard, MD is a medicare enrolled "Hospitalist" physician in Fort Pierce, Florida. His current practice location is
1700 S 23rd St, Fort Pierce, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 461-4000.
Dr Tyrone Wizzard is licensed to practice in Florida (license number ME167243) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942887161.
Physician's Profile
Full Name | Dr Tyrone Wizzard |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1700 S 23rd St, Fort Pierce, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942887161
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365983574
- Enrollment ID: I20240916000654
Medical Identifiers
Medical identifiers for Dr Tyrone Wizzard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942887161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A189384 (California) | Secondary |
208M00000X | Hospitalist | MD500002993 (District Of Columbia) | Secondary |
208M00000X | Hospitalist | ME167243 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyrone Wizzard allows following entities to bill medicare on his behalf.
Entity Name | Hospital Medicine Services Of Fl, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyrone Wizzard is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tyrone Wizzard, MD 1700 S 23rd St, Fort Pierce, FL 34950-4803 Ph: (772) 461-4000 | Dr Tyrone Wizzard, MD 1700 S 23rd St, Fort Pierce, FL 34950-4803 Ph: (772) 461-4000 |
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